Premera Blue Cross

2023 information2022 information

About Premera Blue Cross

Premera Blue Cross has provided health plans to school employees across the state for 60 years. Premera is headquartered in Washington State and provides health benefits to 2.5 million people nationwide. Our SEBB health plans are designed with school employees in mind and are backed by best-in-class customer service and the Blue Cross Blue Shield Association.

Premera offers three SEBB health plans, so you have a range of options. And you can choose plans based on where you live or work. Not all plans are offered in all counties, though, so be sure to check what plans are available to you.

All Premera SEBB plans come with:

  • 24-hour virtual care
  • $0 preventive care
  • Behavioral health benefits (in person and virtual)
  • Access to high-quality doctors and hospitals, including the largest provider groups in every part of the state

2023 information

Upcoming webinars

Premera is hosting several webinars (through Microsoft Teams) during open enrollment. 

Registration is NOT required.

How do I join?

On the day of the event, click the Join webinar link for the webinar you wish to attend.

Dates and times

Plan details

Premera High PPO

The High PPO Plan comes with in-network access to over 1.7 million providers nationwide. Watch a video to learn more about the High PPO plan.

Deductibles

This preferred provider plan has a $750 medical deductible for individuals and $1,875 medical deductible for families when receiving in-network care. The prescription drug deductible is waived for generic drugs and is $125 for individuals and $312 for families.

Key features of the plan

Best-in-class customer service, 24-hour virtual care, $0 preventive care, no referrals needed for specialty care, 24 annual visits for each alternative care specialty: massage, chiropractic, acupuncture, and access to 63,000 in-network pharmacies.

Available counties

You can choose this plan if you live or work in one of these counties: Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Ferry, Franklin, Garfield, Grant, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pend Oreille, Pierce, Skagit, Skamania, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, and Yakima.

Who should consider this plan?

This plan is great for those looking for a lower deductible and predictable office visit copays.

Coverage documentation

Premera HMO

The Premera HMO provides access to the Sherwood Network within Washington and emergency care nationwide. Watch a video to learn more about Premera HMO.

Deductibles

This preferred provider plan has a $750 medical deductible for individuals and $1,875 medical deductible for families when receiving in-network care. The prescription drug deductible is waived for generic drugs and is $125 for individuals and $312 for families.

Key features of the plan

In-network access to over 13,000 healthcare providers, including 15 hospitals, dozens of urgent care, primary care, and specialty care clinics. The growing network includes: MultiCare Health System, MultiCare Indigo Urgent Care, Kinwell (primary care clinics), MultiCare Rockwood Clinics, Mary Bridge Children's Hospital, and Seattle Children's.

There is no out-of-network coverage except for urgent and emergency care.

Designated primary care provider of your choice is your main contact for care, primary care provider makes referrals to specialty care, best-in-class customer service, 24-hour virtual care, $0 preventive care, behavioral health provider finder service, same-day, in-home urgent care, 24 annual visits for each alternative care specialty: massage, chiropractic, acupuncture, access to 1,300 in-network pharmacies in Washington. 

Available counties

You can choose this plan if you live or work in one of these counties: Pierce, Spokane, and Thurston.

Who should consider this plan?

This plan is great for those who want the lowest cost monthly premium available and low out of pocket costs.

Coverage documentation

Premera Standard PPO

Premera’s Standard PPO Plan comes with in-network access to over 1.7 million unique providers nationwide. Watch a video to learn more about the Standard PPO plan.

Deductibles

This preferred provider plan has a $1,250 medical deductible for individuals and $3,125 medical deductible for families when receiving in-network care. The prescription drug deductible is waived for generic drugs and is $250 for individuals and $750 for families.

Key features of the plan

Best-in-class customer service, 24-hour virtual care, $0 preventive care, no referrals for specialty care, 24 annual visits for each alternative care specialty: massage, chiropractic, acupuncture, and access to 63,000 in-network pharmacies. 

Available counties

You can choose this plan if you live or work in one of these counties: Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Ferry, Franklin, Garfield, Grant, Grays Harbor, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, and Yakima.

Who should consider this plan?

This plan is great for those looking for a lower employee monthly premium and predictable office visit copays.

Coverage documentation

2022 information

Additional plan benefits

24-hour nurseline

When health concerns occur day or night, get free consultations to guide you to the most appropriate care. The number is on the back of your Premera ID card.

What it's for: Help with deciding what kind of care you need. 

98point6 via Premera MyCare

On-demand, text-based primary care.

What it's for: Board certified providers can answer questions and diagnose and treat you when you're sick or if you have a chronic condition. 

Boulder Care

Substance use disorder treatment grounded in kindness, respect, and unconditional support. Opioid use and alcohol use disorder treatment for people over age 18. Video visits and text messaging allow people to connect with clinicians, care advocates, and support 24/7.

What it's for: Substance use disorder treatment grounded in kindness, respect, and unconditional support.

Doctor On Demand

Video chat with a doctor or therapist for urgent care, preventive care, chronic condition care, and mental health care. 

What it’s for: Cold and flu symptoms, pediatric issues, child development, skin conditions, allergies, headaches, diet and nutrition, medication management, anxiety, depression, postpartum concerns, relationship counseling, trauma, and loss.

Livongo 

Monitoring and health management for people diagnosed with common chronic conditions, including diabetes and prediabetes. Includes equipment, supplies, coaching, and support. 

What it’s for: Keeping blood sugar under control.

Talkspace

Online therapy with a licensed clinician via private message and live video for nonurgent mental health care.

What it's for: Nonurgent mental health care.

Plan details

Premera High PPO

The High PPO Plan comes with in-network access to over 1.7 million providers  nationwide. Watch a video to learn more about the High PPO plan.

Deductibles

This preferred provider plan has a $750 medical deductible for individuals and $1,875 medical deductible for families when receiving in-network care. The prescription drug deductible is waived for generic drugs and is $125 for individuals and $312 for families.

Key features of the plan

Best-in-class customer service, 24-hour virtual care, $0 preventive care, no referrals needed for specialty care, and access to 63,000 in-network pharmacies.

Available counties

You can choose this plan if you live or work in one of these counties: Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Ferry, Franklin, Garfield, Grant, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pend Oreille, Pierce, Skagit, Skamania, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, and Yakima.

Who should consider this plan?

This plan is great for those looking for a lower deductible and predictable office visit copays.

Coverage documentation

Premera Peak Care EPO

The Peak Care plan provides access to the MultiCare Health System in Washington. This network provides in-network access to 3,900 providers at MultiCare Health System, MultiCare Connected Care, MultiCare Rockwood Clinics, MultiCare Behavioral Health Network, Mary Bridge Children's, and Vivacity Care Clinics in Washington State. This exclusive provider plan does not support out-of-network coverage but emergency care is covered nationwide. Watch a video to learn more about our Peak Care plan.

Deductibles

It has a $750 medical deductible for individuals and $1,875 medical deductible for families. The prescription drug deductible is waived for generic drugs and is $125 for individuals and $312 for families.

Key features of the plan

Key features of the plan include: best-in-class customer service, 24-hour virtual care, $0 preventive care, no referrals for specialty care, and access to 63,000 in-network pharmacies. 

Available counties

You can choose this plan if you live or work in one of these counties: Pierce, Thurston, or Spokane.

Who should consider this plan?

This plan is great for those who get most of their care from within the MultiCare Health System. 

Coverage documentation

Premera Standard PPO

Premera’s Standard PPO Plan comes with in-network access to over 1.7 million unique providers nationwide. Watch a video to learn more about the Standard PPO plan.

Deductibles

This preferred provider plan has a $1,250 medical deductible for individuals and $3,125 medical deductible for families when receiving in-network care. The prescription drug deductible is waived for generic drugs and is $250 for individuals and $750 for families.

Key features of the plan

Best-in-class customer service, 24-hour virtual care, $0 preventive care, no referrals for specialty care, and access to 63,000 in-network pharmacies. 

Available counties

You can choose this plan if you live or work in one of these counties: Adams, Asotin, Benton, Chelan, Clallam, Columbia, Cowlitz, Ferry, Franklin, Garfield, Grant, Grays Harbor, Jefferson, King, Kitsap, Kittitas, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Oreille, Pierce, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, Whatcom, Whitman, and Yakima.

Who should consider this plan?

This plan is great for those looking for a lower monthly premium and predicable office copays.

Coverage documentation